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City of Orono <br /> Zoning Permit Application <br /> Mailing Address: Permit number: VCO f( -b/�-�V <br /> �Q� PO Box 66 Date received: I ( ` ("1 —10 <br /> Crystal Bay, MN 55323-0066 <br /> Escrow#and /5 �00 <br /> Street Address: amount: �O/ IP—U l `t <br /> 4 <br /> 2750 Kelley Parkway �^ <br /> 6tikilL <br /> Orono, MN 55356 Permit Fee: 4/ off, 0.0 <br /> G <br /> kESHO''' Fax: 952-249-4616 Approved by: (1►�/t <br /> Main: 952-249-4600 Notes: l/� <br /> www.ci.orono.mn.us <br /> l•--in <br /> -,n ^ Set //7/50e// / -/ 6 <br /> This application form must be completed in full and all required information must be submitted. (Please print.) <br /> Job Site Address: 6/45+ k/pJ j 1v1 M ez o. <br /> CONTRACTOR/APPLICANT INFORMATION: <br /> Name: <br /> Phone: Fax: <br /> Address: City: ZIP: <br /> Contact Person: Contact's phone number <br /> Email Applicant is: Contractor Homeowner (Circle One) <br /> PROPERTY OWN INFOATION: <br /> Name: ( (-----U14.41\I OCts' <br /> Phone (day): 6l a, Y0, 4,d <br /> Mailing Address: 9.‘'.5— WINbsM IgZIP: 'S ..3 A Y <br /> Email and/or Fax 1copiA�l fLuti y p/4- wa f C C^4� <br /> Overall Project Description: <br /> Check TYPE OF PERMIT FEE <br /> Box collected when permit is issued <br /> Dock, Commercial $50+engineering review costs <br /> Escrow for erosion control and engineering review costs $2,000 <br /> Dock, Residential — Permanent dock on any lake or initial seasonal dock not on Lake $50+engineering review costs <br /> Minnetonka(permanent dock requires CUP) <br /> Hardcover Permit: Driveway, Patio, Sidewalk,etc. (New or Replacement) No charge <br /> Also requires is a Minor or Major Land Alteration Permit <br /> Land Alteration, Major (grading, filling, or excavating) of more than 500 cubic yards $50 <br /> beyond the lakeshore setback OR more than 50 cubic yards within the lakeshore setback <br /> (also requires Conditional Use Permit) <br /> (Reference: City Code Sections 78-967, 78-1247 and 78-12861 <br /> Escrow for erosion control and engineering review costs As determined by CUP <br /> Land Alteration, Minor(grading,filling or excavating)of 51 to 500 cubic yards beyond the $50+engineering review costs <br /> lakeshore setback OR 50 cubic yards or less within the lakeshore setback <br /> (Reference: City Code Sections 78-967, 78-1247 and 78-12861 <br /> Escrow for erosion control and engineering review costs $2,000 <br /> Retaining Walls which exceed two feet in height above existing grade; or result in more $50+engineering review costs <br /> than 20 cubic yards of imported fill; or are located less than five feet from the property line. <br /> Escrow for erosion control and engineering review costs $2,500 <br /> (Reference: City Code Section 78-1405(5.1)1 <br /> Retaining Walls which measure more than four feet(from bottom of footings to top of wall) <br /> require a building permit. Tiered retaining walls are considered one wall unless the walls <br /> are separated by twice the height of the lower wall. <br /> Stairway or Lifts to Lake(New or Replacement) (Reference: City Code Sections 78-12821 $50+engineering review costs <br /> Escrow for erosion control and engineering review costs $2,000 <br /> Structure Permit for other structures 200 sf or less not requiring a building permit but $50+engineering review costs <br /> \{ regulated by the zoning code(Reference: City Code Section 86-661 <br /> /J�` Escrow for erosion control and engineering review costs $2,500 <br /> Tree Removal or other vegetation removal within 75 feet of lakes No charge. <br /> (Reference: City Code Section 78-12851 Pre-inspection required. <br /> Temporary Construction Office/Trailer(associated with building permit) $30 <br /> Updated: May 2015 <br />